Provider Demographics
NPI:1770174831
Name:TURGEON, TERI L (TVI)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:L
Last Name:TURGEON
Suffix:
Gender:F
Credentials:TVI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 NELSON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01536-1409
Mailing Address - Country:US
Mailing Address - Phone:617-866-9912
Mailing Address - Fax:
Practice Address - Street 1:175 NORTH BEACON ST.
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-0247
Practice Address - Country:US
Practice Address - Phone:617-972-7331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist